03-100935City of Federal Way
Community Development Services
33530 1 st Way S
Mechanical Permit #:03 - 100935 - 00 - ME
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 :. Inspection request line 253ii$35.3050
IF P
Project Name: KEHRT GI( _ -
Project Address: 33733 29TH SW -
-Project Description: Replace leaking gas water lre�er
Parcel Number: 255700 034It -
Owner
Applicant
Contractor _
Michael W & Trudeena L Kehtt
WASHINGTON CORROSION SRVC INC
WASHINGTON CORROSION SRVC INC
1425 BLAINE AVE NE
1425 BLAINE AVE NE
RENTON WA 98056-2774
RENTON WA 98056-2774
(425) 228-1393
Mechanical Valuation..........................................421 Over the Counter Permit...................................... Yes
P111;RMIT EXPIRES September 3, 2003.
Permit issued on March 7, 2003
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the We will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal WX .. /) /-) '1�
Owner or agen Date: �" 7 ,
J
4% Ae
CONSTRUCTION PERMIT APPLICATIOCN
CITY OF �— PPLICATION NUMBER: — Q _ _
Federal Way APPLICATION NUMBER:
PPLICATION NUMBER: — —
"The following is required information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: 413733 257 0-T 54y y ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT I14FORMATION
TYPE OF PROJECT (This application): o BUILDING ?)qLUMBING o MECHANICAL ❑ DEMOLITION
o ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): /CP�L�e�
PROJECT NAME:
iNti-til-ILL•• •1
PROPERTYOWNER: NAME: DAYTIME PHONE:
R T- i (253) 835 -`f23 5
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
i 1--56'/1�53 2y CI S td f:fa WA y 9KOL3
I
CONTRACTOR: NAME: DAYTIME PHONE:
lv n v (el. ) 3S
MAILING ADDRESS (STREET DRESS; CITY, STATE, Z EVENING PHONE:
iLg6 'tic
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: I FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER: - - - - -
C y � IXPIRATION DATE:
(ropy of card required) (d fl - C � SJ 7� e i S / -1�e / o
APPLICANT: NAME:
l 0 k N Q)� S i DAYTIME PHONE:
J -
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP): EVENING PHONE:
VC <2,17DII 10A 9kz ( 4f 5 / 72,�, - l 3 S3
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
y E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑APPLICANT NTRACTOR I
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER -
PROPOSED VALUATION FOR IMPROVEMENTS: $ 7
❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) -
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEMS)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
]2SCLA2MER/S2GNATURE BLC
/_ WATER HEATER(S)
❑ ELECTRIC "�IOAS
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and
further, that I am authorized by the owner of the above premises to perforin the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
Investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of
Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information supplied)�k to the city as part of this application.
NAME/TITLE: DATE:
❑ PROPERTY OW 11 o APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 •253{61-4000 • FAX: 253-661-4129
www.dtvoffederalway.com